Bad experience Scripps Memorial Encinitas this week Friday!
Hello everyone reading this updated this week...
If you need medical care talk to your dr first. I went to ER with husband early am this friday with severe diahreah all night and stomach pain asking for help. I have insurance and been with Scripps since we moed to s ca. for my complexed health issues and found that Scripps is not 100 percent thorough with their care.
I waited nine hours in the lobby but they at least completed blood test and cat scan without contrast. I even asked why they did not do without to make better imaging?
There were no ppl in the morning and by noon it was flooded and I have an autoimmune issue Lupus nephritis and should not be exposed in crowded places which was noted in my chart as well. I feel they could have isolated me a little better to keep me safe because it was empty when I arrived with my husband.
I was never offered a pillow or a blanket for comfort and sat in a hard wheelchair for nine hours:( MY ... was so sorer by the afternoon and kept calling my husband at work to try to leave a bit earlier because I was so uncomfortable.:( and no one gave me IV or pain meds. for stomach pain or the diahreah.
The dr even said I had gasternitous when I had my discharge papers at 430 pm. the nurse talked to me for few minutes.
I had to call the next day to increase my prednisone for 20 mgs from ten mg for the inflammation of the gasternitous while having diahrea he said he would only do it for five days on the phone. I have to call my rheumatologist on Monday and hope she will increase it longer for my inflammation because of my Lupus so it wont get to my Kidney stuff.:(
A bad experience, I just moved to Scripps hospital to take care of all the health issues and this is my arm after 2 days of doing my blood work at Scripps Eastlake.
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below I contacted my primary insurance United Healthcare Student resources and they insisted that they didn't receive any claim in time, and there is no record of this claim on their system Scripps didn't provide evidence to prove they submit the claim on time Regards, [redacted] **
To Whom it May Concern: Thank you for the opportunity to response to Mr [redacted] 's concernWe will contact the patient directly to resolve their concerns [redacted] , Patient Relations
To Whom It May Concern:
Thank you for the opportunity to respond to patient's concerns. After further review, patient's charge as patient described was billed timely after determining primary insuance carrier and in accordance with their contracting guidelinesTherefore it was determined
that the charges are valid and the patient's responsibility
** ** ***, Patient Relations
To Whom It May Concern:
Thank you for bringing this matter to our attentionWe are working directly with customer to resolve to their satisfaction
*** ***, MBA, Patient Relations
To Whom it May Concern:
Thanks for the opportunity to review the patient's concern. We thank you for bringing this matter to our attentionThis matter is being formally reviewed and addressed, as appropriate
*** ***, MBA, Patient Relation, Scripps Medical Foundation
To Whom it May Concern:
Thanks again for the opportunity to review patient's concerns. Patient's charge were billed timely after several attempts to determine patient's primary insuance carrier and in accordance with their contracting guidelines. Therefore, the Patient Affairs Committee determined that the charges are valid and the patient's responsibility.
[redacted]
This is our stance, we are sorry that we could not satisfy this patients complaints. Mrs. [redacted] bills were reviewed by the Business Services department and her bill was waived and adjusted with a zero balance. Risk Managment followed up with Mrs. [redacted] and drafted an action plan in resposne to her continued complaints. At this time there is nothing else we can do to resolve this matter. We are sorry that our solutions did not meet this patients expectations.
have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below.
This is not a resolution. It is simply a message that they are going to review my complaint. I am pleased that they are finally responding to me but annoyed that they never responded to my letter to them, only to my Revdex.com complaint.Also, I want to make sure that the person reviewing my complaint understands that they never informed me or my insurance company of the charges. Likewise, the collection agency to whom they referred the charges never informed me. Had they informed me at the time, I could have had my insurance company pay the charge. Now they wont consider it because it is so late.
Regards,
[redacted]
Good afternoon Ms. [redacted],
Thank you for forwarding Ms. [redacted]'s concerns to our attention. I spoke with Ms. [redacted] regarding this matter and will be working with her directly.
[redacted]
Patient Relations
To Whom it May Concern:
Thank you for the opportunity to response to Mr. [redacted]'s concern. We will contact the patient directly to resolve their concerns.
[redacted], Patient Relations
[redacted] was more than accommodating and assured me that everything was taken care of. She went the extra step and took care of this problem. Thank you and I am satisfied that this was taken care of.
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below.
I contacted my primary insurance United Healthcare Student resources and they insisted that they didn't receive any claim in time, and there is no record of this claim on their system. Scripps didn't provide evidence to prove they submit the claim on time.
Regards,
[redacted]
To Whom it May Concern:
In the above reference complaint; this matter will be addressed with the patient directly. A letter will be sent to the patient's attention under separate cover.
[redacted] Patient Relations
I am responding in regards to a complaint submitted to the Revdex.com against Scripps Mercy Hospital and recorded as ID #[redacted]. The following actions have taken place on this account to remedy the issue: 1. I personally have notified Progressive...
Management Systems (PMS) and have requested that they cancel the account associated with the ID number referenced above. I have also requested to have any adverse reporting removed from the patient’s credit report as it relates to her visit at Scripps Mercy Hospital. I have asked PMS to provide me with a copy of their cancellation letter which I will forward to the patient via email upon receipt.2. As a courtesy to the patient, I have made an adjustment to write-off the full balance of $537.00; which are the facility charges related to her visit at Scripps Mercy Hospital. I emailed the patient and advise her of the steps listed above that have been taken on her account. I have also provided the patient with my direct contact information should she have any further questions and/or concerns. If you have any questions or need additional information, please do not hesitate to contact me. Thank you. [redacted]Team Lead, Customer Service & Collections Scripps Patient Financial Services
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID...
[redacted], and find that the resolution that followed is satisfactory to me.
While it is unfortunate that it took my Revdex.com complaint to get action started. Scripps representative Mark Rivera did an exceptional job of followup and resolution. He should be commended for his efforts.
Regards,
[redacted]
To Whom It May Concern: I apologize for the delay in response. My name is [redacted] and I am Patient Advocate for Scripps Memorial Hospital La Jolla. This email is to inform you that we contacted Mrs. [redacted] in November. Please see timeline below: 11/21/16: [redacted], the Manager of Care Management spoke to Mr. & Mrs. [redacted] about their concerns. She explained that the physicians are not employees of Scripps Health and are independent contractors. They were informed that the billing coordinator for the physician group was contacted and will contact them regarding their billing concerns. 11/21/16: [redacted] from Marin Medical Practice Concepts, Inc. (physician billing group) spoke to Mrs. [redacted]. She informed the patient to call her insurance and ask them to resubmit the claim. [redacted] said the claims was resubmitted to the patient’s insurance and that it will take 30-45 days to process. 12/6/16: [redacted] followed up with Mrs. [redacted]. She spoke to [redacted] from the physician billing group who informed her that they resubmitted a claim to her insurance and will take 30-45 days to reprocess. [redacted] shared this information with the patient. The manager advised the patient to follow-up with [redacted] sometime in January. [redacted]’s contact information is [redacted] Email: [redacted].[redacted]@mmpcinc.com We do not have purview over the physician’s practices including billing, as they are independent contractors and are not employees of Scripps. The patient was advised to contact the physician billing group if they have questions or inquiries about their bill or need assistance with payment. Thank you for informing us about Ms. [redacted]’s concerns. If you have any questions, please feel free to contact me at [redacted] or you can respond to this email. Best Regards,[redacted]Patient Relations/ Risk Management CoordinatorScripps Memorial Hospital La JollaQuality ManagementTel: [redacted]
To Whom It May Concern,
This complaint was forwarded to [redacted], Sr. Director for Performance Outcomes at Scripps La Jolla Memorial Hospital for follow up and response.
Sincerely,
[redacted], Manager of Risk and Patient Relations for Scripps Foundation
These charges were initally reviewed by Scripps Memorial Hospital Manager of Revenue, [redacted]. I am hiaving this dispute reviewed by Scripps Clinic Business Services to clarify process that was completed regarding this matter.
Sincerely,
[redacted], Risk Manager
If you need medical care talk to your dr first. I went to ER with husband early am this friday with severe diahreah all night and stomach pain asking for help. I have insurance and been with Scripps since we moed to s ca. for my complexed health issues and found that Scripps is not 100 percent thorough with their care.
I waited nine hours in the lobby but they at least completed blood test and cat scan without contrast. I even asked why they did not do without to make better imaging?
There were no ppl in the morning and by noon it was flooded and I have an autoimmune issue Lupus nephritis and should not be exposed in crowded places which was noted in my chart as well. I feel they could have isolated me a little better to keep me safe because it was empty when I arrived with my husband.
I was never offered a pillow or a blanket for comfort and sat in a hard wheelchair for nine hours:( MY ... was so sorer by the afternoon and kept calling my husband at work to try to leave a bit earlier because I was so uncomfortable.:( and no one gave me IV or pain meds. for stomach pain or the diahreah.
The dr even said I had gasternitous when I had my discharge papers at 430 pm. the nurse talked to me for few minutes.
I had to call the next day to increase my prednisone for 20 mgs from ten mg for the inflammation of the gasternitous while having diahrea he said he would only do it for five days on the phone. I have to call my rheumatologist on Monday and hope she will increase it longer for my inflammation because of my Lupus so it wont get to my Kidney stuff.:(
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below I contacted my primary insurance United Healthcare Student resources and they insisted that they didn't receive any claim in time, and there is no record of this claim on their system Scripps didn't provide evidence to prove they submit the claim on time Regards, [redacted] **
To Whom it May Concern: Thank you for the opportunity to response to Mr [redacted] 's concernWe will contact the patient directly to resolve their concerns [redacted] , Patient Relations
To Whom It May Concern:
Thank you for the opportunity to respond to patient's concerns. After further review, patient's charge as patient described was billed timely after determining primary insuance carrier and in accordance with their contracting guidelinesTherefore it was determined
that the charges are valid and the patient's responsibility
** ** ***, Patient Relations
To Whom It May Concern:
Thank you for bringing this matter to our attentionWe are working directly with customer to resolve to their satisfaction
*** ***, MBA, Patient Relations
To Whom it May Concern:
Thanks for the opportunity to review the patient's concern. We thank you for bringing this matter to our attentionThis matter is being formally reviewed and addressed, as appropriate
*** ***, MBA, Patient Relation, Scripps Medical Foundation
To Whom it May Concern:
Thanks again for the opportunity to review patient's concerns. Patient's charge were billed timely after several attempts to determine patient's primary insuance carrier and in accordance with their contracting guidelines. Therefore, the Patient Affairs Committee determined that the charges are valid and the patient's responsibility.
[redacted]
This is our stance, we are sorry that we could not satisfy this patients complaints. Mrs. [redacted] bills were reviewed by the Business Services department and her bill was waived and adjusted with a zero balance. Risk Managment followed up with Mrs. [redacted] and drafted an action plan in resposne to her continued complaints. At this time there is nothing else we can do to resolve this matter. We are sorry that our solutions did not meet this patients expectations.
Revdex.com:
I...
have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below.
This is not a resolution. It is simply a message that they are going to review my complaint. I am pleased that they are finally responding to me but annoyed that they never responded to my letter to them, only to my Revdex.com complaint.Also, I want to make sure that the person reviewing my complaint understands that they never informed me or my insurance company of the charges. Likewise, the collection agency to whom they referred the charges never informed me. Had they informed me at the time, I could have had my insurance company pay the charge. Now they wont consider it because it is so late.
Regards,
[redacted]
Good afternoon Ms. [redacted],
Thank you for forwarding Ms. [redacted]'s concerns to our attention. I spoke with Ms. [redacted] regarding this matter and will be working with her directly.
[redacted]
Patient Relations
To Whom it May Concern:
Thank you for the opportunity to response to Mr. [redacted]'s concern. We will contact the patient directly to resolve their concerns.
[redacted], Patient Relations
[redacted] was more than accommodating and assured me that everything was taken care of. She went the extra step and took care of this problem. Thank you and I am satisfied that this was taken care of.
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below.
I contacted my primary insurance United Healthcare Student resources and they insisted that they didn't receive any claim in time, and there is no record of this claim on their system. Scripps didn't provide evidence to prove they submit the claim on time.
Regards,
[redacted]
To Whom it May Concern:
In the above reference complaint; this matter will be addressed with the patient directly. A letter will be sent to the patient's attention under separate cover.
[redacted] Patient Relations
I am responding in regards to a complaint submitted to the Revdex.com against Scripps Mercy Hospital and recorded as ID #[redacted]. The following actions have taken place on this account to remedy the issue: 1. I personally have notified Progressive...
Management Systems (PMS) and have requested that they cancel the account associated with the ID number referenced above. I have also requested to have any adverse reporting removed from the patient’s credit report as it relates to her visit at Scripps Mercy Hospital. I have asked PMS to provide me with a copy of their cancellation letter which I will forward to the patient via email upon receipt.2. As a courtesy to the patient, I have made an adjustment to write-off the full balance of $537.00; which are the facility charges related to her visit at Scripps Mercy Hospital. I emailed the patient and advise her of the steps listed above that have been taken on her account. I have also provided the patient with my direct contact information should she have any further questions and/or concerns. If you have any questions or need additional information, please do not hesitate to contact me. Thank you. [redacted]Team Lead, Customer Service & Collections Scripps Patient Financial Services
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID...
[redacted], and find that the resolution that followed is satisfactory to me.
While it is unfortunate that it took my Revdex.com complaint to get action started. Scripps representative Mark Rivera did an exceptional job of followup and resolution. He should be commended for his efforts.
Regards,
[redacted]
To Whom It May Concern: I apologize for the delay in response. My name is [redacted] and I am Patient Advocate for Scripps Memorial Hospital La Jolla. This email is to inform you that we contacted Mrs. [redacted] in November. Please see timeline below: 11/21/16: [redacted], the Manager of Care Management spoke to Mr. & Mrs. [redacted] about their concerns. She explained that the physicians are not employees of Scripps Health and are independent contractors. They were informed that the billing coordinator for the physician group was contacted and will contact them regarding their billing concerns. 11/21/16: [redacted] from Marin Medical Practice Concepts, Inc. (physician billing group) spoke to Mrs. [redacted]. She informed the patient to call her insurance and ask them to resubmit the claim. [redacted] said the claims was resubmitted to the patient’s insurance and that it will take 30-45 days to process. 12/6/16: [redacted] followed up with Mrs. [redacted]. She spoke to [redacted] from the physician billing group who informed her that they resubmitted a claim to her insurance and will take 30-45 days to reprocess. [redacted] shared this information with the patient. The manager advised the patient to follow-up with [redacted] sometime in January. [redacted]’s contact information is [redacted] Email: [redacted].[redacted]@mmpcinc.com We do not have purview over the physician’s practices including billing, as they are independent contractors and are not employees of Scripps. The patient was advised to contact the physician billing group if they have questions or inquiries about their bill or need assistance with payment. Thank you for informing us about Ms. [redacted]’s concerns. If you have any questions, please feel free to contact me at [redacted] or you can respond to this email. Best Regards,[redacted]Patient Relations/ Risk Management CoordinatorScripps Memorial Hospital La JollaQuality ManagementTel: [redacted]
To Whom It May Concern,
This complaint was forwarded to [redacted], Sr. Director for Performance Outcomes at Scripps La Jolla Memorial Hospital for follow up and response.
Sincerely,
[redacted], Manager of Risk and Patient Relations for Scripps Foundation
These charges were initally reviewed by Scripps Memorial Hospital Manager of Revenue, [redacted]. I am hiaving this dispute reviewed by Scripps Clinic Business Services to clarify process that was completed regarding this matter.
Sincerely,
[redacted], Risk Manager